Search Results: 26,038 vacancies
...JOB PURPOSE:
Under the direction of the Senior Director of Clinical Review, the Clinical Review Nurse is responsible for complying with the day-to-day operations of the Clinical Review Department. Responsibilities include reviewing, recommending and providing authorization...
Suggested
Flexible hours
...the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene... ...clinical license.**
**Position Purpose:** Performs clinical reviews needed to resolve and process appeals by reviewing medical...
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Hourly pay
Holiday work
Remote job
Flexible hours
...Benefits include:
Sign-on Bonuses OR Student Loan Assistance for clinical staff
FREE Online RN to BSN and MSN degree programs!... ...Responsible for direct oversight and management of clinical review processes within Appeals & Grievances Department. Ensures regulatory...
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Holiday work
Full time
Part time
Relocation bonus
Flexible hours
...be part of our transformation across the enterprise.
DRG Reviewer
Full-Time
The DRG Reviewer reports to the Director of... ...conflicting, or incomplete documentation.
Works closely with Clinical Documentation Improvement (CDI) to identify areas of documentation...
Suggested
Full time
Work experience placement
...NYC Department of Design and Construction, Public Buildings Division, Architecture & Engineering Unit seeks an Electrical Design Reviewer.
The duties for this position will include, but are not limited to, project scoping, design and/or review of consultant drawings...
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Permanent employment
Full time
For contractors
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Care Review Clinician
Remote: New York, New York, US
Salary: $45.00 Per... ...cases to Medical Director make appropriate referrals to other clinical programs, collaborate with multidisciplinary teams.
Minimum...
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Hourly pay
Remote job
...independent initiative and judgment, the Medicaid Eligibility Specialist is responsible for interviewing Medicaid applicants and reviewing their documentation to determine eligibility for Medicaid.
The Office of Constituent Services (OCS) is seeking (1) Eligibility...
Suggested
Full time
Work experience placement
Shift work
...Authorization Experience required.
Experience in InterQual Milliman
Understanding State Policies
Skills:
Prior Authorization, Clinical review, Licensed Practical Nurse, LPN , Interqual
About Actalent
Actalent is a global leader in engineering and sciences...
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...collections and centralized data reporting. The areas are Centralized Data Entry (CDE), Claims & Collections (C&C), Division of Financial Review and Processing (DFRP), Office of Liens & Trust (OLT) and Supplemental Nutrition Assistance Program - Claims & Recovery (SNAP-CR)....
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Permanent employment
Full time
Work experience placement
Monday to Friday
...Utilization Review Analyst
Job Details
Job Location
Bronx, NY
Position Type
Full Time
Education Level
4 Year Degree
Salary Range
$45,000.00 - $50,000.00 Salary/year
Travel Percentage
Up to 25%
Job Shift
Day
Job Category
Nonprofit...
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Permanent employment
Full time
Contract work
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Local area
Shift work
...Job Description
Clinical Director
The Physical Therapist Clinical Director is responsible for complete oversight of operations and... ...Education reimbursements
MedBridge Membership
Yearly review for growth opportunities
Professional Development Growth Tracks...
Suggested
Full time
Relocation bonus
...needed to discuss lien re-payment.
OLR/OLT is recruiting for (1) one Supervisor of Nurses to function as a Complex Medical Case Reviewer, who will:
- Conduct medical reviews and analyses claims to calculate injury related Medicaid liens pursuant to SSL-104b on...
Suggested
Full time
Monday to Friday
...Job Description
Wage/Salary: $20 to $24 per hour
Position Summary:
The Quality Reviewer provides free, quality tax return review for eligible taxpayers. Using IRS approved software (Tax slayer), along with the information provided by the client, and by asking...
Suggested
Hourly pay
Local area
Flexible hours
...Homeless Services is recruiting for one (1) Administrative Community Relations Specialist NM-II to function as the Director of Packet Review and Processing who will:
- Be responsible for overseeing the day-to-day work operations of the HPD referral team.
- Stand...
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Permanent employment
Full time
Night shift
Monday to Friday
...records, labs, imaging, and medication records. Abstracts pertinent clinical information from these records to determine the appropriateness... ..., recommends and assigns appropriate level of care. The Reviewer is responsible for obtaining the order for appropriate level of...
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Holiday work
Immediate start
Shift work
...serving as the Executive Director for the Clearance & Apartment Review.
Under the direction of the Associate Commissioner for... ...years; or
(C) A valid New York State Registration as a Licensed Clinical Social Worker (LCSW) or Licensed Master of Social Work (LMSW) may...
Permanent employment
Monday to Friday
...on the Civil Engineer level. The work and training will be in one or more of the following engineering areas: development, design review, and construction inspection. Performs mathematical calculations. The selected candidate will work mainly as the MS4 programs I/C facilities...
Full time
...and Opportunities, Administrative Services, Purchasing Management, Payments and Accounting, Large Payments and Accounting, Contract Review & Negotiations Unit, and Scope/Specifications Review Unit.
The Contract Review and Negotiations Unit is responsible for...
Contract work
Job Description: Position Purpose:
Provide case management and clinical services to employees within their regulated scope of practice.... ...1-3 years relevant experience in case management, utilization review and/or quality assurance
• Experience in acute episodic care,...
Permanent employment
Full time
Temporary work
For contractors
Local area
Remote job
Monday to Friday
...Description: : Position Purpose:
Provide case management and clinical services to employees within their regulated scope of practice.... ...1-3 years relevant experience in case management, utilization review and/or quality assurance
Experience in acute episodic care, wellness...
Permanent employment
Full time
Contract work
Temporary work
For contractors
Local area
Remote job
Monday to Friday
